CN102885666A - Lock/floating marker band on pusher wire for self-expanding stents or medical devices - Google Patents
Lock/floating marker band on pusher wire for self-expanding stents or medical devices Download PDFInfo
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- CN102885666A CN102885666A CN2012102014870A CN201210201487A CN102885666A CN 102885666 A CN102885666 A CN 102885666A CN 2012102014870 A CN2012102014870 A CN 2012102014870A CN 201210201487 A CN201210201487 A CN 201210201487A CN 102885666 A CN102885666 A CN 102885666A
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- inner support
- unsteady
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- ring
- self
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- 239000003550 marker Substances 0.000 title abstract 7
- 230000002792 vascular Effects 0.000 claims description 174
- 239000002184 metal Substances 0.000 claims description 74
- 238000012423 maintenance Methods 0.000 claims description 10
- 230000002093 peripheral effect Effects 0.000 claims description 7
- 210000003484 anatomy Anatomy 0.000 claims description 5
- 230000000717 retained effect Effects 0.000 abstract description 3
- 230000004048 modification Effects 0.000 description 7
- 238000012986 modification Methods 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 238000005452 bending Methods 0.000 description 3
- 206010002329 Aneurysm Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000003032 molecular docking Methods 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9528—Instruments specially adapted for placement or removal of stents or stent-grafts for retrieval of stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F2002/9665—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod with additional retaining means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Abstract
An apparatus for deploying and retrieving a self-expanding intravascular stent includes an intravascular delivery wire and floating marker band movably retained over the intravascular stent delivery wire and releasably mounting the self-expanding intravascular stent. The floating marker band is movably retained to a fixed marker band, and a distance between the fixed marker band and the floating marker band is variable and self-adjusting. One or more struts of the self-expanding intravascular stent are releasably constrained between a catheter wall and one or more sides of the floating marker band.
Description
Background technology
Present patent application relates to the system for configuration and/or withdrawal vascular inner support, and relate more specifically to a kind of device for configuration and/or withdrawal self-inflated vascular inner support or medical device, it comprises vascular inner support delivery of metal silk or pushes tinsel, vascular inner support delivery of metal silk or push tinsel and have and keep movably or constrain in vascular inner support delivery of metal silk or push one or more unsteady Marking ring on the tinsel is to send and to regain the vascular inner support that is removably disposed on one or more unsteady Marking rings.
The vascular inner support can radially expand in patient's vascular generally in a tubular form actively or passively.This support can be contained on the sacculus of expandable members or balloon angioplasty conduit, and described conduit is used for making inflation come stent by the therapentic part (for example in narrow positions or aneurysm site) at vascular.Self-expandable stent can be not expand into larger diameter by means of expandable members or sacculus from the form of sending of compression.
Generally include a conduit that can pass vascular for the vascular inner support delivery system that self-expandable stent in the vascular is placed on the intravascular therapy position, self-expandable stent is axially disposed within the distal portions of conduit.For the therapentic part (for example in narrow positions or aneurysm site) that the vascular inner support is arranged on vascular, usually guiding catheter is introduced patient's vascular system and in vascular, sent to, until the far-end of guiding catheter is near therapentic part.Then seal wire is advanced to desired location by guiding catheter usually, has established the vascular that standoff expansion or delivery catheter are sent into the patient by seal wire on it with one again, until support is properly oriented, this support can be configured at therapentic part afterwards.
A kind ofly self-expandable stent is remained in slim common technology relate to sheath or sleeve pipe are arranged on part support or the whole support; usually or for support is retained in around the conduit to prevent the body fluid support of stretching with compressed configuration, or in order to protect vascular not touched by support.Usually such sheath or sleeve pipe are regained from support or are deviate from, so that support can be realized expanded configuration.
Also knowing has a kind of seal wire loading dock, and the expanded radially support that wherein is loaded on the seal wire is covered by scalable constraint jacket portions ground near the far-end of seal wire or its.When support is placed on therapentic part, makes approximately bundle jacket retract to expose support, thereby allow support to expand.
Advantageously, providing a kind of comprises vascular inner support delivery of metal silk or pushes vascular inner support delivery system wiry, vascular inner support delivery of metal silk or push tinsel and have and keep movably or constrain in vascular inner support delivery of metal silk or push one or more unsteady Marking ring on the tinsel, to be used for sending and regaining self-inflated vascular inner support or the medical device that is removably disposed on one or more unsteady Marking rings, so that the Staple Diameter Profile that dwindles to be provided, thereby allow the vascular inner support is delivered in the vascular such as neurovascular more minor diameter and more very thin vascular system.
Also advantageously, a kind of vascular inner support delivery of metal silk is provided or pushes tinsel, it has and keeps movably or constrain in vascular inner support delivery of metal silk or push one or more unsteady Marking ring on the tinsel, with proximal segment or distal ports and the vascular inner support delivery of metal silk of considering self-inflated vascular inner support or medical device or push combination wiry and can be mounted in conduit or the tubular sheath and can in patient's vascular system, in conduit, send to and regain, and consider that self-inflated vascular inner support or medical device are retracted in the conduit after the part support launches.
Also advantageously, a kind of vascular inner support delivery of metal silk is provided or pushes tinsel, it has and keeps movably or constrain in vascular inner support delivery of metal silk or push one or more unsteady Marking ring on the tinsel, and at self-inflated vascular inner support or medical device be fixedly mounted in vascular inner support delivery of metal silk or push between the fixation mark ring on the tinsel and have self-regulating variable interval, so that make sending to or regain and being more prone to of assembly, and consider and improve self-inflated vascular inner support or medical device with respect to vascular inner support delivery of metal silk or push the flexible connection of tinsel in narrow vascular crooked position, this narrow vascular is crooked otherwise can be not easy to passing through of conventional system bending section.
Also advantageously, providing a kind of comprises vascular inner support delivery of metal silk or pushes vascular inner support delivery system wiry, it has and keeps movably or constrain in vascular inner support delivery of metal silk or push one or more unsteady Marking ring on the tinsel, to be used for sending and regaining the vascular inner support that is removably disposed on one or more unsteady Marking rings, so that vascular inner support delivery of metal silk or push top wiry and can send in the process in system and rotate freely, to be easy to the vessel anatomy structure by complications.
Also advantageously, a kind of vascular inner support delivery system is provided, it comprises with the vascular inner support delivery of metal silk of one or more unsteady Marking rings or pushes tinsel, the periphery of described one or more unsteady Marking rings is that many sides are polygonal shape, for example square or pentagon shaped, to consider the stay of self-inflated vascular inner support or medical device, supporting leg or ray thoroughly label extend beyond one or more unsteady Marking rings, so that the stay of self-inflated vascular inner support or medical device, supporting leg or ray thoroughly label by the constraint of conduit or tube wall and by one or more sides constraints of one or more unsteady Marking rings, dock to consider self-inflated vascular inner support or medical device with vascular inner support delivery of metal silk or to push tinsel, and consider that self-inflated vascular inner support or medical device keep post intensity and be unlikely shrinkage under compressive load, especially so that self-inflated vascular inner support or medical device can under tensile load, be retracted.
Also advantageously, a kind of vascular inner support delivery system is provided, it comprises with the vascular inner support delivery of metal silk of one or more unsteady Marking rings or pushes tinsel, described one or more unsteady Marking ring can be arranged on below the main body of self-inflated vascular inner support or medical device, think that self-inflated vascular inner support or medical device provide support, and prevent or minimize the support shrinkage of self-inflated vascular inner support or medical device.The present invention can satisfy these and other needs.
Summary of the invention
Simply put it briefly, the invention provides a kind of device for configuration and/or withdrawal self-inflated vascular inner support or medical device, it comprises delivery of metal silk and one or more unsteady Marking ring in the vascular, described one or more unsteady Marking ring keeps movably or constrains on vascular inner support delivery of metal silk or the propelling movement tinsel, and is configured to self-inflated vascular inner support or medical device removably are contained in above one or more unsteady Marking rings.One current preferred aspect, the periphery of the locking/Marking ring that floats is that many sides are polygonal shape, for example square or pentagon shaped.Another current preferred aspect, vascular inner support delivery of metal silk or push top wiry and send in the process and can rotate freely in system is to be easy to the vessel anatomy structure by complications.
Another current preferred aspect, one or more unsteady Marking rings can for example keep by wind spring, braid over braid or tinsel or be constrained on the fixation mark ring movably, and described wind spring, braid over braid or tinsel can be connected to circle or the laser breach on the fixation mark ring for example.The fixation mark ring is attached to regularly vascular inner support delivery of metal silk or pushes on the tinsel.Alternatively, one or more unsteady Marking rings can for example keep movably or be constrained in vascular inner support delivery of metal silk or push on the tinsel by wind spring, braid over braid or tinsel, described wind spring, braid over braid or tinsel can be connected to vascular inner support delivery of metal silk for example or push circle or laser breach on the tinsel.
Another current preferred aspect, distance between fixation mark ring and one or more unsteady Marking ring is variable, and the distance between fixation mark ring and the one or more unsteady Marking ring be by sending to or the withdrawal process in according to the vascular flexibility on dissecting increase or reduce length carry out self-regulating, to keep level and smooth flexible connection.
Another current preferred aspect, the proximal segment of self-inflated vascular inner support or medical device is installed in above one or more unsteady Marking rings.Alternatively, the distal ports of self-inflated vascular inner support or medical device can be installed in above one or more unsteady Marking rings.Preferably, support is to vascular inner support delivery of metal silk or push and wiryly be movably connected in the compact vascular bending to be self-regulating, to realize interval or length variable between support and the fixation mark ring, to be more prone to so that make assembly send to or regain.
Another current preferred aspect, the device that is used for configuration and/or withdrawal self-inflated vascular inner support or medical device also comprises conduit or tubular sheath, and one or more stays of self-inflated vascular inner support or medical device or supporting leg extend beyond one or more unsteady Marking rings, so that the stay of self-inflated vascular inner support or medical device, supporting leg or ray thoroughly label constrain between at least one side of conduit or tube wall and one or more unsteady Marking rings, this is convenient to self-inflated vascular inner support or medical device docks with vascular inner support delivery of metal silk or propelling movement tinsel, and considers that self-inflated vascular inner support or medical device keep post intensity and not shrinkage under compressive load.Another current preferred aspect, self-inflated vascular inner support or medical device can be regained under tensile load, because the saturating label of stay, supporting leg or ray that one or more unsteady Marking ring can be engaged in self-inflated vascular inner support or medical device.
Another current preferred aspect, the device that is used for configuration and regains medical device in the self-inflated vascular comprises and pushes tinsel in the vascular with distal portions and proximal part and constrain in movably at least one the unsteady Marking ring that pushes in the vascular on the tinsel.At least one unsteady Marking ring is configured to removably to install medical device in the self-inflated vascular thereon, and at least one fixation mark ring is attached to regularly in the vascular and is pushed on the tinsel, and wherein at least one unsteady Marking ring remains at least one fixation mark ring movably by at least one confining part.Distance between at least one fixation mark ring and at least one unsteady Marking ring can be self-regulating.Described device also can comprise having medical device in the self-inflated vascular that is loaded on the proximal segment at least one unsteady Marking ring.Described device also can comprise the tubular sheath with wall, medical device in the self-inflated vascular is set in wall, medical device has at least one stay in the self-inflated vascular, and at least one stay is crossed at least one unsteady Marking ring and extended and by at least one side constraint of the wall of tubular sheath and at least one unsteady Marking ring.At least one unsteady Marking ring can have polygonal outer peripheral face, and described polygon is selected from square and pentagon.At least one confining part can comprise at least one wind spring.At least one confining part can comprise at least one braid over braid.At least one confining part can comprise that at least one keeps tinsel.At least one maintenance tinsel can be connected in the circle at least one fixation mark ring.Vascular inner support delivery of metal silk can have the mid portion that is arranged between distal portions and the proximal part.Vascular inner support delivery of metal silk can comprise Wound wire part and core wire part, and Wound wire partly is wrapped in around the core wire part.The core wire part can extend to distal portions equably from the proximal part of vascular inner support delivery of metal silk.Wound wire part can changing between the two in proximal part, mid portion and distal portions at least: what change is at least one in the row character: the distance between the adjacent wire ring, the diameter of wire ring, tinsel thickness and tinsel composition.At least one unsteady Marking ring can be with following (i) and (ii) at least one in these two be separately: (i) proximal part of vascular inner support delivery of metal silk and mid portion and (ii) distal portions and the mid portion of vascular inner support delivery of metal silk.At least one unsteady Marking ring can separate proximal part and the distal portions of vascular inner support delivery of metal silk.Described device also can comprise at least one the fixation mark ring that attaches to regularly vascular inner support delivery of metal silk, and wherein at least one unsteady Marking ring remains at least one fixation mark ring movably.At least one fixation mark ring can be with following (i) and (ii) at least one in these two be separately: (i) proximal part of vascular inner support delivery of metal silk and mid portion and (ii) distal portions and the mid portion of vascular inner support delivery of metal silk.At least one fixation mark ring can separate proximal part and the distal portions of vascular inner support delivery of metal silk.Described device can comprise two or more fixation mark rings and self-inflated vascular inner support, at least two expansion that its medium-height trestle can be in two or more fixation mark rings.Described device can comprise two or more unsteady Marking rings and self-inflated vascular inner support, at least two expansion that its medium-height trestle can be in two or more unsteady Marking rings.Described device also can comprise self-inflated vascular inner support, and its medium-height trestle can launch at least one unsteady Marking ring and at least one fixation mark ring.Described device can comprise by at least one confining part and remains on movably unsteady Marking ring on the vascular inner support delivery of metal silk.Confining part can comprise braid over braid, wind spring or keep tinsel.The maintenance tinsel can be connected in circle or the breach on the vascular inner support delivery of metal silk.Vascular inner support delivery of metal silk can have is sending vascular inner support delivery of metal silk to rotate freely in the process of vascular top, to be easy to the vessel anatomy structure by complications.At least one maintenance tinsel can be connected in the circle on the vascular inner support delivery of metal silk.At least one maintenance tinsel can be connected in the breach at least one fixation mark ring.At least one maintenance tinsel can be connected in the breach on the vascular inner support delivery of metal silk.
By the detailed description of the preferred embodiment of carrying out below in conjunction with accompanying drawing, other characteristics of the present invention and advantage will become more obvious, and described accompanying drawing illustrates operation of the present invention by way of example.
Description of drawings
Fig. 1 is according to the generalized section for configuring and/or regain the device of self-inflated vascular inner support or medical device of the present invention.
Fig. 2 is the generalized section according to the first modification of the device for configuring and/or regain self-inflated vascular inner support or medical device of the present invention.
Fig. 3 is the generalized section according to the second modification of the device for configuring and/or regain self-inflated vascular inner support or medical device of the present invention.
Fig. 4 is the generalized section according to the 3rd modification of the device for configuring and/or regain self-inflated vascular inner support or medical device of the present invention.
Fig. 5 is the generalized section according to the 4th modification of the device for configuring and/or regain self-inflated vascular inner support or medical device of the present invention.
Fig. 6 be as among Fig. 1 according to of the present invention for configuration and/or regain self-inflated vascular inner support or the generalized section of the device of medical device, wherein the opposite side at the fixation mark ring has added additional unsteady Marking ring.
Fig. 7 be as among Fig. 2 according to of the present invention for configuration and/or regain self-inflated vascular inner support or the generalized section of the first modification of the device of medical device, wherein the opposite side at the Marking ring that floats has added additional fixation mark ring.
Fig. 8 is the plane graph with unsteady Marking ring of square exterior perimeter face.
Fig. 9 is the plane graph with unsteady Marking ring of pentagon outer peripheral face.
Figure 10 is according to delivery of metal silk in the vascular of the present invention or pushes the generalized section of an embodiment wiry, and wherein a silk material comprises inner core tinsel part and outer ring tinsel part.
Figure 11 is according to delivery of metal silk in the vascular of the present invention or pushes the plane graph of an embodiment wiry, and wherein a silk material comprises inner core tinsel part and outer ring tinsel part.
The specific embodiment
With reference to the accompanying drawing that non-limited way provides with way of example, the invention provides the device 10 for configuration and/or withdrawal self-inflated vascular inner support or medical device.This device comprises one or more unsteady Marking rings 12, the Marking ring 12 that floats has the centre bore 13 that passes wherein, and keeps movably or constrain in the vascular inner support delivery of metal silk of the centre bore that extends through one or more unsteady Marking rings or push on the tinsel 14.
Delivery of metal silk or propelling movement tinsel comprise proximal part 16, distal portions 18 and the mid portion between proximal part and distal portions 20 in the vascular.In certain embodiments, can provide additional mid portion.The tinsel of various piece can wholely be homogeneous, perhaps can change at one or more attributes from a part to the next part.
One or more unsteady Marking rings are configured to and self-inflated vascular inner support or medical device 22 removably can be contained in above one or more unsteady Marking rings.One or more fixation mark rings 24 have the circular circumference face usually, and are firmly anchored on vascular inner support delivery of metal silk or the propelling movement tinsel.
In certain embodiments, delivery of metal silk or propelling movement tinsel comprise confining part 26 in the vascular, for example have the member of Wound wire part 28 and core wire part 30.The core wire part can be straight or straight line, is for example twining in a spiral manner the Wound wire part around it.The core wire part can be homogeneous from a part to the next part, and the Wound wire part changes between two or more parts.For example, one or more the changing that Wound wire part can be in lower Column Properties: the distance between the adjacent wire ring, the diameter of wire ring, tinsel thickness and tinsel composition.
For example, shown in Fig. 1-5, one or more unsteady Marking rings keep movably by confining part or constrain on vascular inner support delivery of metal silk or the propelling movement tinsel, this confining part can be taked wind spring 32, braid over braid 34 or keep the form of tinsel 36, and can be connected in circle 38 or laser breach 64 (referring to Figure 4 and 5) on vascular inner support delivery of metal silk or propelling movement tinsel or fixation mark ring.
The purpose of this assembly is can be matched with in conduit or the tubular sheath 42.Vascular inner support delivery of metal silk or propelling movement tinsel top 44 can rotate freely sending in the process of system, to be easy to the vessel anatomy structure by complications.The present invention is suitable for engaging with the proximal segment 46 of self-inflated vascular inner support or medical device or the distal ports 48 of self-inflated vascular inner support or medical device.Near-end engage for system send to, configuration and support are regained is best.Shown in Fig. 1 and Fig. 3-5, one or more unsteady Marking rings can perhaps can close on the fixation mark ring as shown in Figure 2 away from the fixation mark ring, perhaps can be shown in Fig. 6-7 not only away from but also close on the fixation mark ring.Can there be one or more unsteady Marking ring and the one or more unsteady Marking ring that closes on the fixation mark ring away from the fixation mark ring, as shown in Figure 6.Perhaps, can exist with respect to the first fixation mark ring 24 away from and a unsteady Marking ring 12 closing on respect to the second fixation mark ring 24, as shown in Figure 7.
The outer peripheral face 50 of one or more unsteady Marking rings has many sides or polygonal shape, for example square shape 52 or pentagon shaped 54.This consider the stay of support or supporting leg 56 or ray thoroughly label 58 extend beyond one or more unsteady Marking rings, so that the stay of support, supporting leg or ray thoroughly label by 60 constraints of conduit or tube wall, and by at least one side 62 constraint of one or more unsteady Marking rings.This considers support with vascular inner support delivery of metal silk or pushes wiry the docking, and considers support terminal maintenance post intensity and not shrinkage under compressive load.Support can be regained under tensile load, because one or more unsteady Marking ring can be engaged in the near-end of self-inflated vascular inner support or medical device or far-end stay or supporting leg or the ray frame label of can not overdrawing.One or more unsteady Marking rings are preferably located in below the rack body, in order to provide support and prevent or minimize the support shrinkage for support.
According to aforementioned obvious, in the vascular delivery of metal silk or push various piece wiry (proximal part, distal portions, mid portion) can be by one or more being separated from each other in float Marking ring and the fixation mark ring.Support or other medical devices can launch between any two unsteady Marking rings or fixation mark ring.Self-inflated vascular inner support or other medical devices can be contained on the Marking ring.The layout of Marking ring can relate to single unsteady Marking ring and single fixation mark ring.In another embodiment, described layout can relate to a series of three or more Marking rings.One or more unsteady Marking rings can be used in the above removably mounting bracket or other medical devices with the other modification of the layout of one or more fixation mark rings, and are regarded as within the spirit and scope of the present invention.
Apparent according to foregoing, although illustrated and described particular form of the present invention, can carry out multiple modification in the situation that do not deviate from the spirit and scope of the present invention.Therefore, this paper is limited the present invention unintentionally, and the present invention is limited by appended claims.
Claims (39)
1. device that is used for configuration and regains self-inflated vascular inner support comprises:
Vascular inner support delivery of metal silk, described vascular inner support delivery of metal silk has distal portions and proximal part; And
At least one unsteady Marking ring, described at least one unsteady Marking ring remain on the described vascular inner support delivery of metal silk movably, and are configured to self-inflated vascular inner support can removably be installed thereon.
2. device according to claim 1, wherein said at least one unsteady Marking ring are with the described proximal part of described vascular inner support delivery of metal silk and described distal portions separately.
3. device according to claim 1 comprises two or more described unsteady Marking rings, and comprises self-inflated vascular inner support, at least two expansion that wherein said support can be in described two or more unsteady Marking rings.
4. device according to claim 1, wherein said vascular inner support delivery of metal silk comprises the top that can rotate freely, the described top that rotates freely is configured to and can freely rotates during sending described vascular inner support delivery of metal silk to vascular, to be easy to the vessel anatomy structure by complications.
5. device according to claim 1, also comprise at least one the fixation mark ring that attaches to regularly described vascular inner support delivery of metal silk, wherein said at least one unsteady Marking ring remains on described at least one fixation mark ring movably by at least one confining part.
6. device according to claim 1 also comprises having the self-inflated vascular inner support that is loaded on the proximal segment on described at least one unsteady Marking ring.
7. device according to claim 6, also comprise the conduit with wall, described self-inflated vascular inner support is set in described wall, described self-inflated vascular inner support has at least one stay of crossing described at least one unsteady Marking ring and extending, so that described at least one stay of described self-inflated vascular inner support retrained by described catheter wall, and by at least one side constraint of described at least one unsteady Marking ring.
8. device according to claim 1, wherein said at least one unsteady Marking ring has outer peripheral face, and described outer peripheral face has many side views.
9. device according to claim 8, wherein said many side views are selected from square shape and pentagon shaped.
10. device according to claim 1, wherein said vascular inner support delivery of metal silk comprises the mid portion that is arranged between described distal portions and the described proximal part.
11. device according to claim 10, wherein said at least one unsteady Marking ring be following (i) and (ii) at least one in the two separately: (i) the described proximal part of described vascular inner support delivery of metal silk and described mid portion and (ii) described distal portions and the described mid portion of described vascular inner support delivery of metal silk.
12. device according to claim 10, wherein said vascular inner support delivery of metal silk comprise Wound wire part and core wire part, described Wound wire partly is wrapped in around the described core wire part.
13. device according to claim 12, wherein said core wire part extends to described distal portions equably from the described proximal part of described vascular inner support delivery of metal silk.
14. device according to claim 13, wherein said Wound wire part changing between the two at least in described proximal part, described mid portion and described distal portions: at least one in the lower Column Properties: the distance between the adjacent wire ring, the diameter of wire ring, tinsel thickness and tinsel composition.
15. device according to claim 10 also comprises at least one the fixation mark ring that attaches to regularly described vascular inner support delivery of metal silk, wherein said at least one unsteady Marking ring is movably held on described at least one fixation mark ring.
16. device according to claim 15, wherein said at least one fixation mark ring be following (i) and (ii) at least one in the two separately: (i) the described proximal part of described vascular inner support delivery of metal silk and described mid portion and (ii) described distal portions and the described mid portion of described vascular inner support delivery of metal silk.
17. device according to claim 5, wherein the distance between described at least one fixation mark ring and described at least one unsteady Marking ring is variable.
18. device according to claim 5, wherein said at least one fixation mark ring separates described proximal part and the described distal portions of described vascular inner support delivery of metal silk.
19. device according to claim 5 comprises two or more described fixation mark rings, and comprises self-inflated vascular inner support, at least two expansion that wherein said support can be in described two or more fixation mark rings.
20. device according to claim 5 also comprises self-inflated vascular inner support, wherein said support can launch at described at least one unsteady Marking ring and described at least one fixation mark ring.
21. device according to claim 5, wherein said at least one confining part comprises at least one wind spring.
22. device according to claim 5, wherein said at least one confining part comprises at least one braid over braid.
23. device according to claim 5, wherein said at least one confining part comprise that at least one keeps tinsel.
24. device according to claim 23, wherein said at least one maintenance tinsel is connected in the circle on described at least one fixation mark ring.
25. device according to claim 23, wherein said at least one maintenance tinsel is connected in the breach on described at least one fixation mark ring.
26. device according to claim 1, wherein said at least one unsteady Marking ring remains in described vascular inner support delivery of metal silk movably by at least one confining part.
27. device according to claim 26, wherein said at least one confining part comprises the element that is selected from braid over braid and wind spring.
28. device according to claim 26, wherein said at least one confining part comprise that at least one keeps tinsel.
29. device according to claim 28, wherein said at least one maintenance tinsel is connected in the circle on the described vascular inner support delivery of metal silk.
30. device according to claim 28, wherein said at least one maintenance tinsel is connected in the breach on the described vascular inner support delivery of metal silk.
31. a device that is used for configuration and regains medical device in the self-inflated vascular comprises:
Push tinsel in the vascular, push tinsel in the described vascular and have distal portions and proximal part;
At least one unsteady Marking ring, described at least one unsteady Marking ring constrain in movably and push in the described vascular on the tinsel, and described at least one unsteady Marking ring is configured to removably to install medical device in the self-inflated vascular thereon; And
At least one fixation mark ring is attached to regularly in the described vascular and pushes on the tinsel, and wherein said at least one unsteady Marking ring remains on described at least one fixation mark ring movably by at least one confining part.
32. device according to claim 31, wherein the distance between described at least one fixation mark ring and described at least one unsteady Marking ring is self-regulating.
33. device according to claim 31, wherein said at least one unsteady Marking ring has outer peripheral face, and described outer peripheral face has the polygonal shape of the square shape of being selected from and pentagon shaped.
34. device according to claim 31, wherein said at least one confining part comprises at least one wind spring.
35. device according to claim 31, wherein said at least one confining part comprises at least one braid over braid.
36. device according to claim 31 also comprises having medical device in the self-inflated vascular that is loaded on the proximal segment on described at least one unsteady Marking ring.
37. device according to claim 36, also comprise the tubular sheath with wall, medical device in the described self-inflated vascular is set in described wall, medical device has at least one stay in the described self-inflated vascular, described at least one stay extends at described at least one unsteady Marking ring, and is subjected at least one side constraint of described wall and described at least one unsteady Marking ring of described tubular sheath.
38. device according to claim 31, wherein said at least one confining part comprise that at least one keeps tinsel.
39. described device according to claim 38, wherein said at least one keep tinsel to be connected in circle on described at least one fixation mark ring.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/158,223 US8696731B2 (en) | 2011-06-10 | 2011-06-10 | Lock/floating marker band on pusher wire for self-expanding stents or medical devices |
| US13/158223 | 2011-06-10 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102885666A true CN102885666A (en) | 2013-01-23 |
| CN102885666B CN102885666B (en) | 2017-03-01 |
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|---|---|---|---|
| CN201210201487.0A Expired - Fee Related CN102885666B (en) | 2011-06-10 | 2012-06-08 | Locking/floating the Marking ring pushing on tinsel for self-expandable stent or medical device |
Country Status (9)
| Country | Link |
|---|---|
| US (2) | US8696731B2 (en) |
| EP (1) | EP2532324A1 (en) |
| JP (1) | JP6195697B2 (en) |
| KR (1) | KR101983536B1 (en) |
| CN (1) | CN102885666B (en) |
| AU (1) | AU2012203268B2 (en) |
| BR (1) | BR102012013971A8 (en) |
| CA (1) | CA2779357A1 (en) |
| IN (1) | IN2012DE01713A (en) |
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| CN117426917A (en) * | 2023-12-20 | 2024-01-23 | 北京华脉泰科医疗器械股份有限公司 | Tectorial membrane support conveyor |
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| US8696731B2 (en) * | 2011-06-10 | 2014-04-15 | DePuy Synthes Products, LLC | Lock/floating marker band on pusher wire for self-expanding stents or medical devices |
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| US10744017B2 (en) | 2018-10-04 | 2020-08-18 | Stryker Corporation | Medical implant delivery system and method of use |
| JP7410940B2 (en) * | 2018-10-04 | 2024-01-10 | ストライカー コーポレイション | medical implant delivery system |
| US10751208B2 (en) | 2018-10-04 | 2020-08-25 | Stryker European Holdings I, Llc | Medical implant delivery system and method of use |
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| CN105592826A (en) * | 2013-08-27 | 2016-05-18 | 柯惠有限合伙公司 | Thermoplastic cast having outstanding deformability and rigidity, and production method for same |
| CN104688386A (en) * | 2015-03-06 | 2015-06-10 | 杭州启明医疗器械有限公司 | Interventional instrument conveying system |
| CN111031971A (en) * | 2017-08-23 | 2020-04-17 | 斯瑞克公司 | Implant delivery system |
| CN113827385A (en) * | 2017-08-23 | 2021-12-24 | 斯瑞克公司 | Implant delivery system |
| CN111031971B (en) * | 2017-08-23 | 2021-11-19 | 斯瑞克公司 | Implant delivery system |
| CN108144174B (en) * | 2017-12-22 | 2020-08-04 | 滨州职业学院 | Left side two-chamber bronchial tube |
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Also Published As
| Publication number | Publication date |
|---|---|
| AU2012203268A1 (en) | 2013-01-10 |
| CA2779357A1 (en) | 2012-12-10 |
| US20120316636A1 (en) | 2012-12-13 |
| KR101983536B1 (en) | 2019-06-07 |
| IN2012DE01713A (en) | 2015-07-10 |
| AU2012203268B2 (en) | 2017-04-20 |
| US9539129B2 (en) | 2017-01-10 |
| US20140236276A1 (en) | 2014-08-21 |
| JP6195697B2 (en) | 2017-09-13 |
| JP2013000586A (en) | 2013-01-07 |
| BR102012013971A8 (en) | 2015-12-29 |
| US8696731B2 (en) | 2014-04-15 |
| KR20120137284A (en) | 2012-12-20 |
| CN102885666B (en) | 2017-03-01 |
| EP2532324A1 (en) | 2012-12-12 |
| BR102012013971A2 (en) | 2014-04-29 |
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